关键词: 临床特点, 颈椎病, 青壮年, 手术疗效

Abstract: 【Abstract】〓Objective〓To investigate the clinical feature of cervical spondylosis in young adults and analyze the effect of surgical treatment. Methods〓From Jan 2009 to Jan 2015, there were 26 young patients were confirmed as cervical spondylosis and underwent surgical treatment, including 14 male and 12 female cases of 28 to 40 years old (average 36.7 years), and 10 staff and 7 workers, 1 surgeon, and 8 cases without regular employment. Of 26 cases, 21 cases of cervical myelopathy, 3 cases of nerve root cervical spondylosis, 2 cases of myelopathy mixed sympathetic. The time from onset to the operation time was 3 to 36 months, averaging 10 months. The possible causes of clinical symptoms, course of treatment were analyzed and evaluated through JOA and VAS score. Results〓The operation was performed in 19 cases through anterior surgery, 2 cases through posterior surgery and 5 cases through the combined surgery. All symptoms were significantly alleviated. A total of 21 cases of cervical spondylotic myelopathy were followed up for 3 to 47 months, averaging 19 months, and JOA score ranged from of 15 to 17, improving rate was from 65% to 100%. Three cases of nerve root cervical spondylosis were followed up 6 months, 13 months and 15 months, respectively, and VAS score decreased to 0. Two cases of myelopathy mixed sympathetic patients were followed up for 7 months and 25 months, the JOA score was 17 points. No fixation loosening, fracture, bone graft fusion failure and spinal cord damage caused by internal fixation were found during follow-up. Conclusion〓Surgical treatment can achieve a satisfactory effect on young adults cervical spondylosis, but long-term effects still need to continue to closely follow-up.

Key words: Young adults, Clinical features, Surgical treatment, Cervical spondylosis